Keiton Smith v. Lorenzo Villegas, et al.

CourtDistrict Court, D. Nevada
DecidedDecember 30, 2025
Docket2:22-cv-00872
StatusUnknown

This text of Keiton Smith v. Lorenzo Villegas, et al. (Keiton Smith v. Lorenzo Villegas, et al.) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Keiton Smith v. Lorenzo Villegas, et al., (D. Nev. 2025).

Opinion

1 2 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA 3 4 Keiton Smith, Case No. 2:22-cv-00872-CDS-EJY

5 Plaintiff Order Granting the Defendants’ Motion for Summary Judgment 6 v.

7 Lorenzo Villegas, et al., [ECF No. 165]

8 Defendants

9 10 Incarcerated pro se plaintiff Keiton Smith brings this civil rights action under 42 U.S.C. 11 § 1983, alleging violations of the First, Eighth, and Fourteenth Amendments. See First am. compl., 12 ECF No. 8. Defendants Kerry McCullah, Martin Naughton, and Lorenzo Villegas filed a motion 13 for summary judgment. Mot. summ. j., ECF No. 165. Smith filed an opposition. See Opp’n, ECF 14 No. 172. This motion is now fully briefed. See Reply, ECF No. 182. Because Smith did not 15 properly exhaust the available grievance procedures of the Nevada Department of Corrections 16 (NDOC), I grant the defendants’ summary judgment. 17 I. Background1 18 A. Smith’s allegations 19 Smith was arrested in November 2007 and held at various facilities, including Clark 20 County Detention Center, the High Desert State Prison (HDSP), and Ely State Prison. ECF No. 8 21 at 7–8, ¶ 8. In 2017, Smith was sent to Warm Springs Correctional Center (WSCC), where he 22 notified medical staff about his back pain. Id. at 8. In 2018, he got an x-ray, and it was determined 23 that Smith had a slight deterioration between two vertebrae. Id. Around this time, Doe Doctor A 24 told Smith he needed an MRI to determine the problem and gave him a UC Davis pamphlet of 25 stretching exercises to do and medication to take. Id. 26 1 Unless otherwise noted, citations to the first amended complaint (ECF No. 8) are to provide context to this action, not to indicate a finding of fact. 1 From 2019 to 2021, Smith was examined by several doctors, but none scheduled an MRI. 2 Id. Smith filed several kites in 2019 and 2021 because of his constant back pains and because he 3 was given the wrong medication. Id. at 9. Throughout the years, Smith continued to see various 4 doctors who inquired if he utilized the pamphlet for stretching exercises, if his medication was 5 working, and when he would be released. Id. In early 2021, he saw a doctor virtually, and the 6 doctor stated that his “hip [did] look off.” Id. at 10. As alleged, around this time, his back pain 7 had significantly worsened, and he was in medical at least four times a week. Id. On January 24, 8 2022, Smith was in so much pain that prison staff was called. Id. at 11. While unclear from the 9 complaint, he saw Dr. Haulke, who ordered him an MRI. Id. Around February 18, 2022, Dr. 10 Benson told Smith he had three vertebrae collapsed and needed surgery to correct the issue. Id. 11 B. Medical and grievance history 12 In April 2018, Smith had an x-ray of his lumbar spine. See Medical file, Defs.’ Ex. D, 167-1 13 at 50. Smith was then prescribed two types of pain relief medications and a Transcutaneous 14 Electrical Nerve Stimulation (TENS) treatment. Id. His referral for the TENS treatment was 15 approved in August 2018. Id. There is no indication he ever received the treatment. In January 16 2019, Smith underwent another x-ray, after which he was prescribed Baclofen, a medication 17 used to treat muscle stiffness and spasms. Id. at 111. 18 In October 2019, defendant Villegas referred Smith for an orthopedic consultation. Defs.’ 19 Ex. D, ECF No. 167-1 at 33, 101. Shortly thereafter, in November 2019, Smith was transferred from 20 the WSCC to HDSP due to upcoming court proceedings. See Updated bed history, Defs.’ Ex. A, 21 165-1 at 2; Case notes, Defs.’ Ex. B, ECF No. 165-2 at 3. Smith was then transferred back to 22 WSCC in March of 2020. Defs.’ Ex. A, 165-1 at 2. Upon his return, Smith was again referred for 23 an orthopedic consultation, which was later deferred pending the result of an injection 24 treatment and additional testing. Defs.’ Ex. D, ECF No. 167-1 at 36. In July 2020, a consultation 25 26 1 was thereafter scheduled, but Smith refused to attend because of COVID concerns.2 Id. at 36, 82, 2 187. 3 On April 15, 2021, Smith submitted an emergency grievance3 (2006-31-20069), 4 complaining of back pain and noting that he was not being provided medication. ECF No. 165 at 5 5; Defs.’ Ex. H, ECF No. 165-8 at 8; Decl. Robert Hartman, Defs.’ Ex. J, ECF No. 165-10; Emerg. 6 grievance, Pl.’s Ex. B, ECF No. 8 at 31–33. On April 15, 2021, the grievance was denied because it 7 did not meet the requirements for an emergency grievance. See Defs.’ Ex. H, ECF No. 165-8 at 8. 8 Smith was informed that they were waiting for approval of new medication and that his x-ray 9 had been rescheduled. Id. Smith did not appeal this informal grievance to either the first or 10 second level, nor did he resubmit an informal grievance. Id. 11 In December 2021, Smith underwent an MRI. Defs.’ Ex. D, ECF No. 167-1 at 40, 286. The 12 results of that MRI revealed Smith suffered from ““[l]oss of normal lumbar lordosis with spinal 13 straightening associated with subtle” “degenerative retrolisthesis at L4-5 and L5-S1.” Id. at 286. 14 Further, Smith had “[b]road-based disc protrusion” to the left at L4-5 abutting the right L5, and 15 “[b]road-based disc protrusion at L5-S1” but “no significant stenosis.” Id. at 287. In February 16 2022, Smith was again referred to an orthopedic for consultation. Id. at 31. On May 18, 2022, 17 Smith was seen by an orthopedic specialist. Defs.’ Ex. D, ECF No. 167-1 at 29–30, 304; Movement 18 history, Defs.’ Ex. F, ECF No. 165-6 at 4; Ex. J, ECF No. 165-10 at 3, ¶ 9. In May 2022, Smith was 19 referred to a neurosurgeon. Defs.’ Ex. D, ECF No. 167-1 at 29, 292, 302–03, 310. 20 On March 1, 2022, Smith filed an informal grievance (2006-31-34695) about his back pain 21 and WSCC’s inadequate medical care. Defs.’ Ex. H, ECF No. 165-8 at 8; Grievance Rejection, Pl.’s 22 Ex. D, ECF No. 8 at 36–44. Smith’s grievance stated that NDOC has been on notice of his 23 medical condition since 2013, his condition has grown worse, and in 2018, NDOC medical staff 24

2 Smith signed a release of liability form for declining his x-ray. See Defs.’ Ex. D, ECF No. 167-1 at 186–87. 25 3 In total, Smith filed four grievances related to these allegations: 2006-31-20069, 2006-31-34695, 2006-31- 26 36936, 2006-31-40087. See Updated grievance history, Defs.’ Ex. H; ECF No. 165-8. 1 determined his vertebra was deteriorating. Defs.’ Ex. H, ECF No. 165-8 at 8; Pl.’s Ex. D, ECF No. 2 8 at 36–44. On March 2, 2022, former defendant Ashcraft4 rejected the grievance because it was 3 untimely and an abuse of the inmate grievance procedure. Pl.’s Ex. D, ECF No. 8 at 36–44. 4 Specifically, Ashcraft indicated that Smith’s grievances were “over issues older than 6 months” 5 and therefore would “not be accepted.” Id. 6 On March 11, 2022, following instructions from a case worker, Smith resubmitted his 7 informal grievance (2006-31-34695). See ECF No. 8 at 11; Second grievance rejection, Pl.’s Ex. E, 8 ECF No. 8 at 45–53; Defs.’ Ex. H, ECF No. 165-8 at 8. The informal grievance again asserted that 9 NDOC had notice of his condition, and his condition had become worse. Id. On March 15, 2022, 10 Smith’s informal grievance was rejected a second time on grounds that it was an abuse of inmate 11 grievance procedure since the grievance was already abandoned due to untimely submission. See 12 Pl.’s Ex. E, ECF No. 8 at 45–53; Defs.’ Ex. H, ECF No. 165-8 at 8.5 13 On March 26, 2022, in complying with the next step in the administrative process, Smith 14 attempted to file a “first level grievance” (2006-31-34695) that was rejected by Acting Warden, 15 Nethanjah Childers, as untimely and an abuse of the grievance procedure. ECF No. 8 at 12; Third 16 & final rejection, Pl.’s Ex. F, ECF No. 8 at 55–57.

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Keiton Smith v. Lorenzo Villegas, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/keiton-smith-v-lorenzo-villegas-et-al-nvd-2025.